ALTA MESA HEALTH AND REHABILITATION
NPI 1043864986
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Mesa, AZ

NPI Status: Active since July 29, 2019

Contact Information

5848 E UNIVERSITY DR
MESA, AZ
ZIP 85205
Phone: (480) 981-0098
Fax: (480) 396-3023

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...
  • CLIA Number: 03D0529080
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About ALTA MESA HEALTH AND REHABILITATION

This page provides the complete NPI Profile along with additional information for Alta Mesa Health And Rehabilitation, a provider established in Mesa, Arizona operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1043864986 assigned on July 2019. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Alta Mesa Health And Rehabilitation. The authorized official of this NPI record is Soon Burnam (Treasurer)

NPI
1043864986
Provider Legal Name
GOLDFIELD MOUNTAIN HEALTHCARE LLC
Other Organization Name
ALTA MESA HEALTH AND REHABILITATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5848 E UNIVERSITY DR MESA, AZ 85205
Location Phone
(480) 981-0098
Location Fax
(480) 396-3023
Mailing Address
5848 E UNIVERSITY DR MESA, AZ 85205
Mailing Phone
(480) 981-0098
Mailing Fax
(480) 396-3023
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2019
Last Update Date
07-20-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SOON BURNAM

Authorized Official Title
TREASURER
Authorized Official Phone
(949) 540-1249

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D0529080
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
ANIL NANDA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Alta Mesa Health And Rehabilitation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043864986, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 6 + 6 + 8 + 9 + 1 + 6 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1043864986.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Skilled Nursing Facility
5848 E UNIVERSITY DR
MESA, AZ 85205
Skilled Nursing Facility
5848 E UNIVERSITY DR
MESA, AZ 85205
Assisted Living Facility
5848 E UNIVERSITY DR
MESA, AZ 85205
Nurse Practitioner (Family)
5848 E UNIVERSITY DR
MESA, AZ 85205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043864986, enumerated as an "organization" on July 29, 2019.

The provider is located at 5848 E UNIVERSITY DR MESA, AZ 85205 and the phone number is (480) 981-0098.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).